ATI RN
Cardiovascular Test Bank Questions
Question 1 of 5
The registered nurse has finished reviewing the 7:00 a.m shift report on a telemetry unit. Which of the following clients would be the best for the RN to assign to the licensed practical nurse?
Correct Answer: A
Rationale: The correct answer is A because the 7-day postoperative CABG client with an infection in the sternal surgical incision requires ongoing wound care with dressings and irrigation. This assignment is suitable for an LPN due to their skill level in wound care. Choice B is incorrect because a client being observed for a myocardial infarction requires close monitoring by an RN. Choice C is incorrect because a client being discharged soon requires coordination and paperwork, which is typically done by an RN. Choice D is incorrect because a client scheduled for a PTCA procedure requires pre-procedure assessments and care typically done by an RN. Thus, choice A is the best option for an LPN assignment.
Question 2 of 5
A toddler requires supplemental oxygen therapy for a cyanotic heart defect. In planning for home care, the nurse would discuss which of the following with the parents?
Correct Answer: B
Rationale: The correct answer is B because promoting mobility while meeting the need for supplemental oxygen is crucial for the toddler's development and overall well-being. Bedrest (A) is not recommended for a toddler unless medically necessary. Discussing symptoms of oxygen toxicity (C) is important but not the priority in this case. Drawing blood for blood gases (D) is a medical procedure that should be performed by healthcare professionals, not parents. Prioritizing mobility and oxygen therapy helps maintain the child's physical health and supports their growth and development.
Question 3 of 5
A patient is admitted to your acute coronary care unit with the diagnosis of ACS. The nurse has seen ECG changes that are indicative of an anterior wall infarction and is observing the patient for signs/symptoms of complications. The nurse has noted the following vital sign trends: 1100-HR 92, RR 24, BP 140/88, Cardiac rhythm NSR 1115-HR 96, RR 26, BP 128/82, Cardiac rhythm NSR 1130-HR 104, RR 28, BP 102/68, Cardiac rhythm ST 1145-HR 120, RR 32, BP 80/52, Cardiac rhythm ST with frequent PVC's The nurse should be alert for which of the following complications? Choose all that apply.
Correct Answer: C
Rationale: The correct answer is C: Cardiogenic shock. In this scenario, the patient with ACS is showing vital sign trends of decreasing blood pressure (BP) along with an increase in heart rate (HR) and respiratory rate (RR), indicating poor cardiac output. Cardiogenic shock occurs when the heart cannot pump enough blood to meet the body's demands. The decreasing BP and increasing HR are signs of impending cardiogenic shock, a serious complication of anterior wall infarction due to decreased cardiac output. Choice A: Syncope is not the most appropriate complication to be alert for in this case, as the vital signs are indicating a more severe condition than just fainting. Choice B: Pericarditis is unlikely to cause the significant changes in vital signs observed in this scenario. While pericarditis can occur following an MI, the vital sign trends are more indicative of cardiogenic shock. Choice D: Cardiac tamponade is also unlikely based on the vital sign trends provided. Card
Question 4 of 5
A nurse is assessing a client who may be in the early stages of dehydration. Early manifestations of dehydration include:
Correct Answer: A
Rationale: The correct answer is A: Sunken eyeballs and poor skin turgor. In the early stages of dehydration, the body loses water and the skin loses elasticity, leading to poor skin turgor. Sunken eyeballs are also a common sign of dehydration due to fluid loss. Thirst or confusion (Choice B) are more common in moderate to severe dehydration. Increased heart rate with hypotension (Choice C) typically occurs in moderate to severe dehydration. Coma or seizures (Choice D) are signs of severe dehydration and would not be seen in the early stages. Therefore, A is the correct choice for early manifestations of dehydration.
Question 5 of 5
The nurse explains to the patient who is to undergo a coronary artery bypass graft that the procedure most often involves
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.